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Blueberry muffin baby. A rare presentation of congenital cytomegalovirus infection.


 
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1. Title Title of document Blueberry muffin baby. A rare presentation of congenital cytomegalovirus infection.
 
2. Creator Author's name, affiliation, country Sofia Martins; Serviço de Neonatologia, Unidade Autónoma de Gestão da Mulher e da Criança, Centro Hospitalar de S. João, Porto, Portugal.; Portugal
 
2. Creator Author's name, affiliation, country Gustavo Rocha; Portugal
 
2. Creator Author's name, affiliation, country Goretti Silva; Portugal
 
2. Creator Author's name, affiliation, country Ana Calistru; Portugal
 
2. Creator Author's name, affiliation, country Susana Pissarra; Portugal
 
2. Creator Author's name, affiliation, country Hercília Guimarães; Portugal
 
3. Subject Discipline(s)
 
3. Subject Keyword(s)
 
4. Description Abstract The 'blueberry muffin baby' designation was used to describe the cutaneous manifestations of congenital rubella. The differential diagnosis includes other TORCH infections, blood dyscrasias, neoplasms, or vascular disorders. We present a case of a newborn admitted at birth for presenting disseminated violaceous cutaneous nodules. Pregnancy was full term and without infectious complications, with prenatal diagnosis of restrictive intrauterine growth, hydramnios and suspected esophageal atresia. Maternal serology with no evidence of infection. The newborn blood study showed thrombocytopenia, direct hyperbilirubinemia, elevated transaminases and coagulopathy. During hospitalization he showed progressive hepatosplenomegaly. Skin biopsy showed extramedullary erythropoiesis. Myelogram revealed absence of megakaryocytic line precursors. The molecular analysis for cytomegalovirus in peripheral blood and bone marrow was positive. Cerebral ultrasound examination revealed bilateral calcifications and periventricular hyperechogenicity. The placental anatomopathological exam showed features suggestive of cytomegalovirus infection. On the fifth day of life was initiated ganciclovir. This case presentation is intended to emphasize that although it is a rare manifestation, congenital cytomegalovirus infection should be considered in the differential diagnosis of 'blueberry muffin baby'.
 
5. Publisher Organizing agency, location Ordem dos Médicos
 
6. Contributor Sponsor(s)
 
7. Date (YYYY-MM-DD) 2011-12-30
 
8. Type Status & genre article
 
8. Type Type
 
9. Format File format PDF (Português)
 
10. Identifier Uniform Resource Identifier https://actamedicaportuguesa.com/revista/index.php/amp/article/view/1535
 
10. Identifier Digital Object Identifier (DOI) http://dx.doi.org/10.20344/amp.1535
 
11. Source Title; vol., no. (year) Acta Médica Portuguesa; Vol 24 (2011): Suplemento 3
 
12. Language English=en
 
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
 
15. Rights Copyright and permissions Copyright (c)